Complaint Investigation Report

157209425-12-22-2025-24-AS-SMOA-DQ4MGJ-20260107083558

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/19/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20251219150428

Licensee/Administrator Lina Juarez and Licensee Shervin Mohammadi

Staff spoke to resident in an inappropriate manner.

Staff did not assist resident for an extended period of time.

On this date 12/22/25, Licensing Program Analyst (LPA) M. Yang conducted initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with Licensee/Administrator (A1) Lina Juarez and Licensee (L1) Shervin Mohammadi arrived shortly. LPA discussed complaint and delivered complaint findings to Licensees.

During the course of the investigation, the Department conducted interviews and reviewed records. Staff and residents confirm staff did not speak to resident in an appropriate manner. Staff attended to resident needs when requested.

Based on interviews conducted, staff alleged spoke to the resident in an appropriate manner and did not assist resident for an extended period of time, the preponderance of evidence has not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Licensee/Administrator, whose signature on this form confirms receipt of this report.